Organization
RAYMOND RENAISSANCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED TAWANSY M.D (OWNER)
(323) 257-3300
Entity
Organization
Contact information
Practice address
125 N RAYMOND AVE SUITE 212, PASADENA, CA 91105-4535
(626) 529-3937
(626) 529-3844
Mailing address
7447 N FIGUEROA ST SUITE 200, LOS ANGELES, CA 90041
(626) 529-3937
(626) 529-3844
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
07/21/2022
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